王婞

[摘要] 目的 探讨外伤性脊髓损伤患者康复护理中临床护理路径的应用对患者生存质量的影响。 方法 选取2019年2月至2020年2月我院收治的外傷性脊髓损伤患者50例，按照随机数字法分为两组，对照组25例，应用常规方式护理，研究组25例，接受临床护理路径，观察并记录两组排便障碍、下肢深静脉血栓以及肌肉挛缩等并发症发生率、住院时间、下床活动时间、生存质量评分等情况。 结果 研究组排便障碍、下肢深静脉血栓以及肌肉挛缩等并发症发生率为4.0%明显低于对照组16.0%（P<0.05）;研究组下床活动时间为（7.2±2.1）d、住院时间为（15.3±2.9）d明显短于对照组（11.2±3.2 d、20.6±3.7 d），差异有统计学意义（P<0.05）;研究组社会功能（66.0±2.5分）、心理功能（65.8±5.1分）、躯体功能（60.9±7.6分）评分均高于对照组（57.0±3.6分、58.3±4.4分、42.5±6.6分），差异有统计学意义（P<0.05）。 结论 外伤性脊髓损伤患者应用临床护理路径方式进行康复护理效果显著，在一定程度上降低并发症发生率，恢复时间短，进而可以提高患者的生存质量，临床上应当进一步应用。

[关键词] 外伤性;脊髓损伤;康复护理;临床护理路径;生存质量

[中图分类号] R651          [文献标识码] B          [文章编号] 1673-9701（2021）13-0181-04

The effect of clinical nursing path on the quality of life of patients with traumatic spinal cord injury in rehabilitation nursing

WANG Xing

Comprehensive Rehabilitation Ward of Wangjiangshan Hospital of Zhejiang Provincial People's Hospital， Hangzhou，   310000， China

[Abstract] Objective To explore the effect of clinical nursing path application on the quality of life of patients with traumatic spinal cord injury in rehabilitation nursing. Methods A total of 50 patients with traumatic spinal cord injury admitted to our hospital from February 2019 to February 2020 were selected and divided into two groups according to the random number method. 25 cases in the control group， using conventional methods of care， 25 cases in the study group， receiving clinical nursing path， The incidence of complications such as defecation disorders， deep venous thrombosis and muscle contractures in the two groups， hospital stay， time to get out of bed， quality of life score， etc were observed and recorded. Results The incidence of complications such as defecation disorders， deep vein thrombosis， and muscle contractures in the study group was 4.0%， which was significantly lower than that in the control group（16.0%） （P<0.05）; the time for getting out of bed in the study group was（7.2±2.1） days and the hospitalization time was（15.3±2.9） d was significantly shorter than the control group （11.2±3.2 d， 20.6±3.7 d） （P<0.05）; social function （66.0±2.5 points）， psychological function（65.8±5.1 points）， physical function （60.9±7.6） in the study group The scores were higher than those in the control group （57.0±3.6 points， 58.3±4.4 points， 42.5±6.6 points） （P<0.05）. Conclusion The application of clinical nursing path in rehabilitation nursing of patients with traumatic spinal cord injury has a significant effect， which can reduce the incidence of complications to a certain extent and shorten the recovery time， thus improving the quality of life of the patients. It should be further applied in clinical practice.

[Key words] Traumatic; Spinal cord injury; Rehabilitation nursing; Clinical nursing path; Quality of life

临床上脊髓损伤属于一种常见的疾病，该疾病影响患者的活动，对患者的生活产生较为严重的影响[1]。脊髓损伤的治疗以及护理时间均较长，易引发患者心理问题，稍有治疗不佳就会对患者脊髓功能产生影响，因此，临床护理方式对患者是至关重要的，合理的护理措施能够有效提升患者的康复效果[2]。与传统护理模式相比，传统护理模式对于临床治疗过于重视，对于患者的身心需求过于忽视，且护理模式过于程序化和普遍化，无法为患者实施针对性护理，临床护理路径更加具有针对性、规划性以及系统性，能够优化患者的护理质量，改善患者的生存质量，本研究分析外伤性脊髓损伤患者康复护理中临床护理路径的应用对患者生存质量的影响，现报道如下。

1 资料与方法